Provider Demographics
NPI:1508862046
Name:SWIERZEWSKI, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:SWIERZEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GRAF RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4076
Mailing Address - Country:US
Mailing Address - Phone:978-462-8006
Mailing Address - Fax:978-268-5020
Practice Address - Street 1:7 GRAF RD
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4076
Practice Address - Country:US
Practice Address - Phone:978-462-8006
Practice Address - Fax:978-268-5020
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222925208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28465OtherBLUE SHIELD
MA2098644Medicaid
MAA39373Medicare ID - Type Unspecified
MA2098644Medicaid